Illinois 104th General Assembly Status: To Executive Bipartisan · 28 D · 16 R cosponsors

HB1141      — GENERAL ANESTHESIA COVERAGE

Last action — Public Act . . . . . . . . . 104-0042

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed House
  4. ✓
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has been sent to the executive. Introduced January 03, 2025. It awaits signature.

Next likely step: the executive signs it into law or issues a veto.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 90% · high confidence

  • To Executive

    Current position in the legislative process.

  • 54 sponsors

    1 primary, 53 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (28 D · 16 R) — cross-party backing.

  • Cleared a recorded vote

    Passed 5 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.

Bill Text

We don't have the full text on file for this bill yet.

Read HB1141 on the official Illinois source →

Action History

  1. Public Act . . . . . . . . . 104-0042

  2. Effective Date August 1, 2025

  3. Governor Approved

  4. Sent to the Governor

  5. Added as Alternate Co-Sponsor Sen. Laura M. Murphy

  6. Added as Alternate Co-Sponsor Sen. Christopher Belt

  7. Added as Alternate Co-Sponsor Sen. Suzy Glowiak Hilton

  8. Added as Alternate Co-Sponsor Sen. Kimberly A. Lightford

  9. Passed Both Houses

  10. Added as Alternate Co-Sponsor Sen. Javier L. Cervantes

  11. Third Reading - Passed; 058-000-000

  12. Added as Alternate Co-Sponsor Sen. Mary Edly-Allen

  13. Added as Alternate Co-Sponsor Sen. Michael E. Hastings

  14. Added as Alternate Co-Sponsor Sen. Adriane L. Johnson

  15. Added as Alternate Co-Sponsor Sen. Michael W. Halpin

  16. Placed on Calendar Order of 3rd Reading **

  17. Added Co-Sponsor Rep. Jawaharial Williams

  18. Placed on Calendar Order of 3rd Reading May 6, 2025

  19. Second Reading

  20. Placed on Calendar Order of 2nd Reading May 1, 2025

  21. Do Pass Insurance; 009-000-000

  22. Assigned to Insurance

  23. Added Co-Sponsor Rep. Maurice A. West, II

  24. Added as Alternate Chief Co-Sponsor Sen. Li Arellano, Jr.

  25. Referred to Assignments

  26. First Reading

  27. Chief Senate Sponsor Sen. Doris Turner

  28. Placed on Calendar Order of First Reading

  29. Arrive in Senate

  30. Added Co-Sponsor Rep. Matt Hanson

  31. Added Co-Sponsor Rep. Maura Hirschauer

  32. Added Co-Sponsor Rep. Dagmara Avelar

  33. Third Reading - Short Debate - Passed 107-000-000

  34. Added Co-Sponsor Rep. Martha Deuter

  35. Added Co-Sponsor Rep. Emanuel "Chris" Welch

  36. Added Co-Sponsor Rep. Jason R. Bunting

  37. Added Co-Sponsor Rep. Amy L. Grant

  38. Added Co-Sponsor Rep. Jennifer Sanalitro

  39. Added Co-Sponsor Rep. Dave Severin

  40. Added Co-Sponsor Rep. Steven Reick

  41. Added Co-Sponsor Rep. Michael J. Coffey, Jr.

  42. Added Co-Sponsor Rep. Nicole La Ha

  43. Added Co-Sponsor Rep. Jackie Haas

  44. Placed on Calendar Order of 3rd Reading - Short Debate

  45. Second Reading - Short Debate

  46. House Floor Amendment No. 2 Adopted

  47. Added Co-Sponsor Rep. Jeff Keicher

  48. House Floor Amendment No. 2 Recommends Be Adopted Insurance Committee; 014-000-000

  49. House Floor Amendment No. 2 Rules Refers to Insurance Committee

  50. House Floor Amendment No. 2 Referred to Rules Committee

  51. House Floor Amendment No. 2 Filed with Clerk by Rep. William E Hauter

  52. Added Co-Sponsor Rep. Dennis Tipsword

  53. Added Co-Sponsor Rep. Anthony DeLuca

  54. Added Co-Sponsor Rep. John M. Cabello

  55. Added Co-Sponsor Rep. Camille Y. Lilly

  56. Added Co-Sponsor Rep. Debbie Meyers-Martin

  57. Added Co-Sponsor Rep. Adam M. Niemerg

  58. Placed on Calendar 2nd Reading - Short Debate

  59. House Committee Amendment No. 1 Tabled

  60. Do Pass / Short Debate Insurance Committee; 016-000-000

  61. House Committee Amendment No. 1 Rules Refers to Insurance Committee

  62. House Committee Amendment No. 1 Referred to Rules Committee

  63. House Committee Amendment No. 1 Filed with Clerk by Rep. William E Hauter

  64. Assigned to Insurance Committee

  65. Added Co-Sponsor Rep. Mary Beth Canty

  66. Added Co-Sponsor Rep. Sharon Chung

  67. Added Co-Sponsor Rep. Yolonda Morris

  68. Added Co-Sponsor Rep. Laura Faver Dias

  69. Added Co-Sponsor Rep. Nabeela Syed

  70. Added Co-Sponsor Rep. Abdelnasser Rashid

  71. Added Co-Sponsor Rep. Norma Hernandez

  72. Added Chief Co-Sponsor Rep. Amy Elik

  73. Added Chief Co-Sponsor Rep. Travis Weaver

  74. Added Co-Sponsor Rep. Lilian Jiménez

  75. Added Co-Sponsor Rep. Will Guzzardi

  76. Added Co-Sponsor Rep. Kevin Schmidt

  77. Added Co-Sponsor Rep. Michelle Mussman

  78. Added Co-Sponsor Rep. Lisa Davis

  79. Added Co-Sponsor Rep. Rick Ryan

  80. Added Co-Sponsor Rep. Amy Briel

  81. Added Co-Sponsor Rep. Nicolle Grasse

  82. Added Co-Sponsor Rep. Harry Benton

  83. Added Chief Co-Sponsor Rep. Tracy Katz Muhl

  84. Added Chief Co-Sponsor Rep. Diane Blair-Sherlock

  85. Referred to Rules Committee

  86. First Reading

  87. Prefiled with Clerk by Rep. William E Hauter

Sponsors

Sponsorship breakdown

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1 sponsors · 53 co-sponsors · 129 not signed on

Sponsors (1)

Co-sponsors (53)

Not signed on (129)

129 members have not signed on to this bill.

Show all 129 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

May 22, 2025

Passed 58 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 37001
Republican 19000
Unaffiliated 1000
Total 57001
% of votes cast 98%0%0%2%
How each member voted (58)
Member Party Vote
Johnson — Yea
Bill Cunningham Democrat Yea
Celina Villanueva Democrat Yea
Christopher Belt Democrat Yea
Cristina Castro Democrat Yea
David Koehler Democrat Yea
Doris Turner Democrat Yea
Elgie R. Sims, Jr. Democrat Yea
Graciela Guzmán Democrat Yea
Javier L. Cervantes Democrat Yea
Julie A. Morrison Democrat Yea
Karina Villa Democrat Yea
Kimberly A. Lightford Democrat Yea
Lakesia Collins Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Yea
Laura M. Murphy Democrat Yea
Linda Holmes Democrat Yea
Mark L. Walker Democrat Yea
Mary Edly-Allen Democrat Yea
Mattie Hunter Democrat Yea
Meg Loughran Cappel Democrat Not Voting
Michael E. Hastings Democrat Yea
Michael W. Halpin Democrat Yea
Mike Porfirio Democrat Yea
Mike Simmons Democrat Yea
Napoleon Harris III Democrat Yea
Omar Aquino Democrat Yea
Patrick J. Joyce Democrat Yea
Paul Faraci Democrat Yea
Rachel Ventura Democrat Yea
Ram Villivalam Democrat Yea
Robert F. Martwick Democrat Yea
Robert Peters Democrat Yea
Sara Feigenholtz Democrat Yea
Steve Stadelman Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Thaddeus Jones Democrat Yea
Willie Preston Democrat Yea
Andrew S. Chesney Republican Yea
Chapin Rose Republican Yea
Chris Balkema Republican Yea
Craig Wilcox Republican Yea
Dale Fowler Republican Yea
Darby A. Hills Republican Yea
Dave Syverson Republican Yea
Donald P. DeWitte Republican Yea
Erica Harriss Republican Yea
Jason Plummer Republican Yea
Jil Tracy Republican Yea
John F. Curran Republican Yea
Li Arellano, Jr. Republican Yea
Neil Anderson Republican Yea
Sally J. Turner Republican Yea
Seth Lewis Republican Yea
Steve McClure Republican Yea
Sue Rezin Republican Yea
Terri Bryant Republican Yea

Official roll call →

Insurance

Passed 9 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Republican 2003
Democrat 7002
Total 9005
% of votes cast 64%0%0%36%
How each member voted (14)
Member Party Vote
Bill Cunningham Democrat Yea
Cristina Castro Democrat Not Voting
Julie A. Morrison Democrat Yea
Laura Ellman Democrat Yea
Laura Fine Democrat Not Voting
Mark L. Walker Democrat Yea
Napoleon Harris III Democrat Yea
Suzy Glowiak Hilton Democrat Yea
Willie Preston Democrat Yea
Chapin Rose Republican Not Voting
Dave Syverson Republican Yea
Jason Plummer Republican Yea
Neil Anderson Republican Not Voting
Steve McClure Republican Not Voting

Official roll call →

Third Reading

Passed 107 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democrat 640010
Republican 38001
Unaffiliated 4000
Total 1060011
% of votes cast 91%0%0%9%
How each member voted (117)
Member Party Vote
Jacobs — Yea
Johnson — Yea
Stava-Murray — Yea
Hernandez, Lisa — Yea
Aarón M. Ortíz Democrat Yea
Abdelnasser Rashid Democrat Yea
Amy Briel Democrat Yea
Angelica Guerrero-Cuellar Democrat Yea
Ann M. Williams Democrat Yea
Anna Moeller Democrat Yea
Anthony DeLuca Democrat Yea
Barbara Hernandez Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Not Voting
Carol Ammons Democrat Not Voting
Curtis J. Tarver, II Democrat Yea
Dagmara Avelar Democrat Yea
Daniel Didech Democrat Yea
Dave Vella Democrat Yea
Debbie Meyers-Martin Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Eva-Dina Delgado Democrat Yea
Fred Crespo Democrat Yea
Harry Benton Democrat Not Voting
Hoan Huynh Democrat Yea
Jaime M. Andrade, Jr. Democrat Yea
Janet Yang Rohr Democrat Yea
Jawaharial Williams Democrat Yea
Jay Hoffman Democrat Not Voting
Jehan Gordon-Booth Democrat Yea
Jennifer Gong-Gershowitz Democrat Yea
Joyce Mason Democrat Yea
Justin Slaughter Democrat Yea
Kam Buckner Democrat Yea
Katie Stuart Democrat Yea
Kelly M. Cassidy Democrat Yea
Kevin John Olickal Democrat Yea
Kimberly Du Buclet Democrat Yea
La Shawn K. Ford Democrat Yea
Laura Faver Dias Democrat Yea
Lawrence "Larry" Walsh, Jr. Democrat Yea
Lilian Jiménez Democrat Not Voting
Lindsey LaPointe Democrat Yea
Lisa Davis Democrat Yea
Marcus C. Evans, Jr. Democrat Yea
Margaret Croke Democrat Yea
Martha Deuter Democrat Yea
Martin J. Moylan Democrat Yea
Mary Beth Canty Democrat Yea
Mary Gill Democrat Yea
Matt Hanson Democrat Yea
Maura Hirschauer Democrat Yea
Maurice A. West, II Democrat Yea
Michael Crawford Democrat Yea
Michael J. Kelly Democrat Not Voting
Michelle Mussman Democrat Yea
Nabeela Syed Democrat Yea
Natalie A. Manley Democrat Yea
Nicholas K. Smith Democrat Yea
Nicolle Grasse Democrat Yea
Norma Hernandez Democrat Yea
Rick Ryan Democrat Yea
Rita Mayfield Democrat Not Voting
Robert "Bob" Rita Democrat Yea
Robyn Gabel Democrat Yea
Sharon Chung Democrat Yea
Sonya M. Harper Democrat Yea
Stephanie A. Kifowit Democrat Not Voting
Sue Scherer Democrat Not Voting
Suzanne M. Ness Democrat Yea
Terra Costa Howard Democrat Yea
Thaddeus Jones Democrat Not Voting
Theresa Mah Democrat Yea
Tracy Katz Muhl Democrat Yea
Will Guzzardi Democrat Yea
William "Will" Davis Democrat Yea
Yolonda Morris Democrat Yea
Adam M. Niemerg Republican Yea
Amy Elik Republican Yea
Amy L. Grant Republican Yea
Blaine Wilhour Republican Yea
Brad Halbrook Republican Yea
Brad Stephens Republican Yea
Bradley Fritts Republican Yea
Brandun Schweizer Republican Yea
Charles Meier Republican Yea
Chris Miller Republican Yea
Christopher "C.D." Davidsmeyer Republican Yea
Dan Swanson Republican Yea
Daniel J. Ugaste Republican Yea
Dave Severin Republican Yea
David Friess Republican Yea
Dennis Tipsword Republican Yea
Jackie Haas Republican Yea
Jason R. Bunting Republican Yea
Jed Davis Republican Yea
Jeff Keicher Republican Yea
Jennifer Sanalitro Republican Yea
Joe C. Sosnowski Republican Yea
John M. Cabello Republican Yea
Kevin Schmidt Republican Yea
Kyle Moore Republican Yea
Martin McLaughlin Republican Yea
Michael J. Coffey, Jr. Republican Yea
Nicole La Ha Republican Yea
Norine K. Hammond Republican Yea
Patrick Sheehan Republican Yea
Patrick Windhorst Republican Yea
Regan Deering Republican Yea
Ryan Spain Republican Yea
Steven Reick Republican Yea
Tom Weber Republican Yea
Tony M. McCombie Republican Yea
Travis Weaver Republican Not Voting
Wayne A. Rosenthal Republican Yea
William E Hauter Republican Yea

Official roll call →

Insurance

Passed 14 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Democrat 9002
Republican 5001
Total 14003
% of votes cast 82%0%0%18%
How each member voted (17)
Member Party Vote
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Not Voting
Daniel Didech Democrat Yea
Edgar González, Jr. Democrat Yea
Harry Benton Democrat Yea
Jawaharial Williams Democrat Not Voting
Lilian Jiménez Democrat Yea
Rita Mayfield Democrat Yea
Thaddeus Jones Democrat Yea
Tracy Katz Muhl Democrat Yea
Adam M. Niemerg Republican Yea
Dennis Tipsword Republican Yea
Jeff Keicher Republican Yea
John M. Cabello Republican Not Voting
Travis Weaver Republican Yea
William E Hauter Republican Yea

Official roll call →

Insurance

Passed 16 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Democrat 10001
Republican 6000
Total 16001
% of votes cast 94%0%0%6%
How each member voted (17)
Member Party Vote
Anthony DeLuca Democrat Yea
Bob Morgan Democrat Yea
Camille Y. Lilly Democrat Yea
Daniel Didech Democrat Yea
Diane Blair-Sherlock Democrat Yea
Edgar González, Jr. Democrat Yea
Harry Benton Democrat Yea
Hoan Huynh Democrat Yea
Rita Mayfield Democrat Yea
Thaddeus Jones Democrat Not Voting
Tracy Katz Muhl Democrat Yea
Adam M. Niemerg Republican Yea
Dennis Tipsword Republican Yea
Jeff Keicher Republican Yea
John M. Cabello Republican Yea
Travis Weaver Republican Yea
William E Hauter Republican Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does HB1141      do?
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2026 shall provide coverage for medically necessary general anesthesia, regardless of the duration, for any procedure covered by the policy, and that medical necessity shall be determined by the attending anesthesiologist or licensed anesthesia provider. Provides that an individual or group policy of accident and health insurance is prohibited from denying payment or reimbursement for anesthesia services solely because the duration of care exceeded a preset time limit. Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, the Voluntary Services Plans Act, and the Illinois Public Aid Code to require coverage under those provisions. Effective immediately.
Who sponsors HB1141     ?
HB1141      is sponsored by Doris Turner, Li Arellano, Jr., Michael W. Halpin, Michael E. Hastings, Mary Edly-Allen, Javier L. Cervantes, Kimberly A. Lightford, Christopher Belt, Laura M. Murphy, William E Hauter (Republican), Diane Blair-Sherlock (Democrat), Tracy Katz Muhl (Democrat), Travis Weaver (Republican), Amy Elik (Republican), Harry Benton (Democrat), Nicolle Grasse (Democrat), Amy Briel (Democrat), Rick Ryan (Democrat), Lisa Davis (Democrat), Michelle Mussman (Democrat), Kevin Schmidt (Republican), Will Guzzardi (Democrat), Lilian Jiménez (Democrat), Norma Hernandez (Democrat), Abdelnasser Rashid (Democrat), Nabeela Syed (Democrat), Laura Faver Dias (Democrat), Yolonda Morris (Democrat), Sharon Chung (Democrat), Mary Beth Canty (Democrat), Adam M. Niemerg (Republican), Debbie Meyers-Martin (Democrat), Camille Y. Lilly (Democrat), John M. Cabello (Republican), Anthony DeLuca (Democrat), Dennis Tipsword (Republican), Jeff Keicher (Republican), Jackie Haas (Republican), Nicole La Ha (Republican), Michael J. Coffey, Jr. (Republican), Steven Reick (Republican), Dave Severin (Republican), Jennifer Sanalitro (Republican), Amy L. Grant (Republican), Jason R. Bunting (Republican), Emanuel "Chris" Welch (Democrat), Martha Deuter (Democrat), Dagmara Avelar (Democrat), Maura Hirschauer (Democrat), Matt Hanson (Democrat), Maurice A. West, II (Democrat), Jawaharial Williams (Democrat), Gregg Johnson (Democrat), and Glowiak Hilton.
What is the current status of HB1141     ?
This bill has been sent to the executive. Introduced January 03, 2025. It awaits signature.
Where can I track HB1141     ?
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